# HEALTH BENEFIT PLAN FOR EMPLOYEES OF SHODAIR CHILDREN'S HOSPITAL

Health and welfare plan sponsored by **MONTANA CHILDRENS HOME & HOSPITAL**. Form 5500 filing for plan year 2025.

| Field | Value |
|---|---|
| Sponsor | MONTANA CHILDRENS HOME & HOSPITAL |
| EIN | 810231789 |
| Plan number | 503 |
| Plan year | 2025 |
| Location | HELENA, MT |
| Industry | medical practice |
| Funding | mixed |
| Total premiums | $414K |
| Participants | 316 |
| Persons covered | 466 |

## Insurance carriers (Schedule A)

| Carrier | Coverage |
|---|---|
| MUTUAL OF OMAHA INSURANCE COMPANY | Life, STD, LTD |
| DELTA DENTAL OF CALIFORNIA | Dental |
| VISION SERVICE PLAN (VSP) | Vision |

## Brokers

| Broker | Placed with |
|---|---|
| ALLIANT INSURANCE SERVICES, INC. | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| WEB BENEFITS DESIGN CORPORATION | UNITED OF OMAHA LIFE INSURANCE COMPANY |
| ALLIANT INSURANCE SERVICES, INC. | DELTA DENTAL INSURANCE COMPANY |
| ALLIANT INSURANCE SERVICES, INC. | VISION SERVICE PLAN |

## About this data

- Source: public Form 5500 filings from the U.S. Department of Labor (EBSA), rebuilt on each DOL release.
- Full page (charts, history, peer benchmarks, fees, contacts): https://planoptica.com/welfare/810231789-503
- Cite as: PlanOptica, https://planoptica.com/welfare/810231789-503
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